SAMANTHA JEAN EATON – Physical Therapy Assistant, NPI 1831614312

SAMANTHA JEAN EATON is a healthcare provider. based in Gravette, Arkansas. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold a License No. 2303 (AR). The NPI Number for SAMANTHA JEAN EATON is 1831614312

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA JEAN EATON
NPI
1831614312
Phone
(479) 787-5291
Address
1101 JACKSON ST SW
Enumeration Date
7 August 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4796218008
Graduation Year
2009 (17 years ago)
PAC ID
5597130732
Group Practice PAC ID
8628401957
Professional Enrollment ID
I20230331001401
Address ID
AR727588231RO3612XBLVD502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

86 PHYSICAL MEDICINE AND REHABILITATION in AR

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Provider Addresses for SAMANTHA JEAN EATON

  • Ozarks Community Hospital of Gravette, 1101, Jackson Street Southwest, Gravette, Benton County, Arkansas, 72736, United States

    GRAVETTE, AR 727369121

    Phone: (479) 787-5291

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230331001401IPhysical Medicine And RehabilitationARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes27013$0
97530Therapy procedure using functional activities18315$0
View full utilization report →

Insurance plans in this area (ZIP 72736)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628401957View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAR
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeAR

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Frequently asked questions

Where can patients find SAMANTHA JEAN EATON's NPI?
You can confirm SAMANTHA JEAN EATON with NPI 1831614312; it appears in the national provider directory.
Is SAMANTHA JEAN EATON's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does SAMANTHA JEAN EATON treat or focus on?
Patients typically see SAMANTHA JEAN EATON under the specialty Physical Therapy Assistant. Clinical services aligned with this taxonomy classification.
Does SAMANTHA JEAN EATON practice in Arkansas?
You will see Gravette, Arkansas on file for SAMANTHA JEAN EATON alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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